TECHNICAL FIELD
[0001] The present invention relates to a surgical electrode having a surface treatment
film, which can be preferably used in an electrosurgical instrument that is used for
surgery of a living tissue as a medical device.
BACKGROUND ART
[0002] In surgical procedures, an electrosurgical instrument (so-called electric cautery)
which can perform hemostasis (coagulation) and incision by discharging a high-frequency
electric current generated by its main body from a surgical electrode to a living
tissue is indispensable. The use of an electric cautery is known to have a problem
of causing an "eschar" in which carbides of a living tissue and the like adhere to
the tip of the electric cautery and, with regard to this problem, there has been proposed
a method of mass-producing plural electrodes that can each be connected to an appropriate
electrical power source for surgical procedure, which method is characterized by including
the steps of: preparing an electroconductive stock material that has a shape and dimensions
for forming plural electrode blanks; coating at least a part of the stock material
with a non-stick layer; and forming plural coated electrode blanks (see Patent Document
1).
RELATED ART DOCUMENT
PATENT DOCUMENT
[0003] [Patent Document 1] Japanese Unexamined Patent Application Publication No.
2000-333968
SUMMARY OF THE INVENTION
PROBLEMS TO BE SOLVED BY THE INVENTION
[0004] However, the technology disclosed in Patent Document 1 was found to have a problem
that the coated non-stick layer is damaged by Joule heat and discharge voltage associated
with a high-frequency electric current released from the tip of an electric cautery,
and the non-stick layer is consequently peeled off or eliminated.
[0005] The present invention solves this problem, and an object of the present invention
is to provide a surgical electrode of an electrosurgical instrument used for surgery
of a living tissue, the surgical electrode having a film to which carbides of the
living tissue and the like are unlikely to adhere and which has excellent adhesion
with the surgical electrode.
MEANS FOR SOLVING THE PROBLEMS
[0006] The present inventors intensively studied to solve the above-described problem and
consequently discovered that a film to which carbides of a living tissue and the like
are unlikely to adhere and which has excellent adhesion with a surgical electrode
can be provided by incorporating a base coating, which is formed from a surface treatment
agent containing at least an amino group-containing compound, between a silicone resin-based
film and the surgical electrode, thereby completing the present invention.
[0007] That is, the present invention can encompass the followings.
- <1> A surgical electrode of an electrosurgical instrument used for surgery of a living
tissue,
wherein
the surgical electrode includes an end portion capable of emitting a high frequency,
the end portion has a surface treatment film which includes a first coating and a
second film in the order mentioned,
the first coating is formed by contacting a surface treatment agent (X) with or over
the entirety or a part of the surface of the end portion at least, which surface treatment
agent (X) contains at least an amino group-containing compound, and
the second film is formed by contacting a surface treatment agent (Y) with the entirety
or a part of the surface of the first coating, which surface treatment agent (Y) contains:
a silicone resin (A); a compound (B) containing a metal element selected from titanium,
platinum, rhodium and palladium; and an aromatic hydrocarbon-based solvent (C), and
satisfies:
- (I) the content of the silicone resin (A) is in a range of 90% by mass to 99.9% by
mass with respect to a total solid mass of the silicone resin (A) and the compound
(B); and
- (II) a ratio (BM/AM) of a mass (BM) of the compound (B) to a mass (AM) of the silicone resin (A) is in a range of 0.001 to 0.111.
- <2> The surgical electrode according to <1>, wherein the surface treatment agent (Y)
further contains a vinyl group-containing silane coupling agent and/or an epoxy group-containing
silane coupling agent, and a ratio (DM/AM) of a total mass (DM) of the vinyl group-containing silane coupling agent and the epoxy group-containing
silane coupling agent to the mass (AM) is in a range of 0.005 to 0.251.
EFFECTS OF THE INVENTION
[0008] According to the present invention, a surgical electrode of an electrosurgical instrument
used for surgery of a living tissue, the surgical electrode having a film to which
carbides of the living tissue and the like are unlikely to adhere and which has excellent
adhesion with the surgical electrode, can be provided.
BRIEF DESCRIPTION OF THE DRAWINGS
[0009]
[FIG. 1] FIG. 1 is a schematic drawing that illustrates one example (blade electrode)
of a surgical electrode (electric cautery).
[FIG. 2] FIG. 2 is a schematic drawing that illustrates another example (loop-type
electrode) of a surgical electrode (electric cautery).
[FIG. 3] FIG. 3 is a schematic drawing that illustrates yet another example (ball-type
electrode) of a surgical electrode (electric cautery).
[FIG. 4] FIG. 4 is a schematic drawing that illustrates yet another example (needle-type
electrode) of a surgical electrode (electric cautery).
[FIG. 5] FIG. 5 provides schematic drawings that illustrate examples of a surgical
electrode (laparoscope). FIG. 5(a) illustrates a wire L-shaped hook type; FIG. 5(b)
illustrates a straight spatula type; FIG. 5(c) illustrates a wire J-shaped hook type;
and FIG. 5(d) illustrates a syringe type.
[FIG. 6] FIG. 6 is a schematic drawing that illustrates yet another example (bipolar-type)
of a surgical electrode (electric cautery).
[FIG. 7] FIG. 7 provides schematic drawings that illustrate formation examples of
a first coating on a surgical electrode.
[FIG. 8] FIG. 8 provides schematic drawings that illustrate formation examples of
a first coating and a second film on a surgical electrode.
MODE FOR CARRYING OUT THE INVENTION
[0010] The surgical electrode having a surface treatment film according to one embodiment
of the present invention includes: a surgical electrode of an electrosurgical instrument
used for surgery of a living tissue; and a surface treatment film which includes a
first coating and a second film in this order on or over the surface of the surgical
electrode. The surgical electrode may, but not required to, further include a passivation
film and/or an oxide film of a metal contained in the surgical electrode between the
surgical electrode and the first coating.
<Surgical Electrode>
[0011] The surgical electrode is an electrode to be fitted onto a tip of an electrosurgical
instrument such as a so-called electric cautery in a detachable manner, and is capable
of performing hemostasis (coagulation) and incision of a living tissue by emitting
a high frequency to the living tissue from an end portion of the electrode. The surgical
electrode is composed of an electroconductive material. More specifically, examples
of the electroconductive material include iron-based metal materials, zinc-plated
metal materials, aluminum-based metal materials, magnesium-based metal materials,
nickel-based metal materials, titanium-based metal materials, zirconium-based metal
materials, copper-based metal materials, tin-based metal materials, tungsten-based
metal materials, chromium-based metal materials, manganese-based metal materials,
molybdenum-based metal materials and cobalt-based metal materials, and the electroconductive
material is more preferably a stainless steel. Typical examples of an electrosurgical
instrument to which the surgical electrode is fitted include electric cauteries such
as monopolar cauteries and bipolar cauteries, and laparoscopes. FIG. 1 is a schematic
drawing that illustrates one example of the surgical electrode.
[0012] FIG. 1 illustrates one example of a blade-type surgical electrode whose end portion
is in a plate form.
[0013] A surgical electrode 10 is a member which can be attached to and detached from an
electrosurgical instrument main body (not illustrated). The surgical electrode 10
is constituted by: an electrical connection portion 13, which is electrically connected
to the electrosurgical instrument main body; an end portion 11, which is brought into
close contact with a living tissue and from which a high frequency is emitted; and
an intermediate portion 12, which connects the electrical connection portion 13 and
the end portion 11.
<End portion>
[0014] The end portion 11 is a part which is brought into close contact with a living tissue
and from which a high frequency is emitted. The shape of the end portion is not particularly
restricted, and examples of the end portion include: the end portion 11 of the blade-type
surgical electrode 10 illustrated in FIG. 1; an end portion 21 of a loop-type surgical
electrode 20 illustrated in FIG. 2; an end portion 31 of a ball-type surgical electrode
30 illustrated in FIG. 3; and an end portion 41 of a needle-type surgical electrode
40 illustrated in FIG. 4, and these surgical electrodes are used as tip electrodes
of electric cauteries. In addition, there are surgical electrodes fitted to a laparoscope,
such as a wire L-shaped hook-type electrode illustrated in FIG. 5(a), a straight spatula-type
electrode illustrated in FIG. 5(b), a wire J-shaped hook-type electrode illustrated
in FIG. 5(c), and a syringe-type electrode illustrated in FIG. 5(d). The above-described
end portions are each an end portion of a monopolar-type surgical electrode; however,
they may each be an end portion of a bipolar-type surgical electrode. FIG. 6 illustrates
one example of an end portion 61 of a bipolar-type surgical electrode 60.
[0015] In the end portion 11, a roughening treatment may or may not be performed on at
least a part (e.g., a part where the below-described first coating is formed, or a
part where the below-described second film is formed) of the surface of the electroconductive
material. Examples of a method for performing the roughening treatment include, but
not limited to: a shot blasting method, an etching method using a solution (e.g.,
an acidic solution or an alkaline solution), a grinding method, a plasma treatment
method, and a corona discharge treatment method. These treatments may be performed
singly, or two or more thereof may be performed in combination. The surface roughness
of the end portion 11 is preferably in a range of 0.05 µm to 0.39 µm, more preferably
in a range of 0.08 µm to 0.25 µm, particularly preferably in a range of 0.10 µm to
0.18 µm, in terms of arithmetic average roughness Ra. The term "surface roughness"
used herein means line roughness, and the above-described Ra is a value measured by
a contact-type surface roughness meter.
<Electrical Connection Portion>
[0016] The electrical connection portion 13 of the surgical electrode 10 is a part which
is electrically connected to a main body of an electrosurgical instrument. The electrical
connection portion 13 can be attached to or detached from the main body of the electrosurgical
instrument, and is usually configured such that it can be fitted with the main body
of the electrosurgical instrument by a mating structure or the like. The electrical
connection portion is also composed of an electroconductive material, which may be
the same as or different from that of the end portion 11.
intermediate Portion>
[0017] The intermediate portion 12 is a member which connects the end portion 11 to the
electrical connection portion 13. The intermediate portion 12 is required to be composed
of an electroconductive material for electrical conduction to the end portion 11;
however, the shape, the length and the like of the intermediate portion 12 are not
particularly restricted.
[0018] The intermediate portion 12 may have a cover 14. The cover 14 is a cured product
of a composition containing an insulating resin. Further, the size, the thickness,
the shape and the like of the cover 14 are not particularly restricted as long as
the intermediate portion 12 and the cover 14 are in contact with each other.
<Surface Treatment Film>
[0019] The surface treatment film according to the present embodiment includes a first coating
and a second film. The first coating is formed by contacting a surface treatment agent
(X) with or over the surface of the surgical electrode (a part or the entirety of
the end portion at least), and the second film is formed by contacting a surface treatment
agent (Y) with a part or the entirety of the surface of the first coating.
[0020] The surface treatment film may be formed at least on the entire surface of the end
portion, or on a part of the end portion. In the case of a blade-type surgical electrode,
examples of the "part" include the blade part of the end portion, and the flat part
of the end portion. The term "flat part" used herein refers to a part having the largest
area in the blade part of the end portion 11 illustrated in FIG. 7.
[0021] In those parts where the surface treatment film is not formed, only the first coating
may be formed. For example, in the case of a blade-type surgical electrode, the first
coating may be formed on the entire surface of the blade part, and the second film
may be formed partially on the first coating. Further, in the end portion 11, only
the first coating or both the first coating and the second film may be formed on a
part or the entirety of the surface of the end part (hereinafter, referred to as "intermediate
connecting part") on the side of the intermediate portion 12.
<Surface Treatment Agent (X)>
[0022] The surface treatment agent (X) according to the present embodiment contains at least
an amino group-containing compound. The amino group-containing compound is not particularly
restricted. The amino group may be any of a primary amino group, a secondary amino
group and a tertiary amino group, and the amino group-containing compound may be one
which has two or more of these amino groups. Specifically, the amino group-containing
compound may be, for example, an amine-based curing agent; a homopolymer of a glycidylamine-type
epoxy resin, a homopolymer of a polyethyleneimine resin, a homopolymer of a melamine
resin, a homopolymer of an aromatic amine resin or the like, or a copolymer containing
these polymers; or an amino group-containing silane coupling agent. Examples of the
amine-based curing agent include, but not limited to: dicyandiamide, diethylenetriamine,
N-aminoethylpiperazine,
m-phenylenediamine, 2-methylimidazole, and 2-ethyl-4-methylimidazole. In the case of
using an amine-based curing agent, it is preferred to use it in combination with an
epoxy resin.
[0023] The amino group-containing silane coupling agent is not particularly restricted as
long as it has one amino group, and examples thereof include
N-2-(aminoethyl)-3-aminopropyldimethylmethoxysilane,
N-2-( aminoethyl )-3-aminopropylmethyldimethoxysilane,
N-2-(aminoethyl)-3-aminopropyltrimethoxysilane,
N-2-(aminoethyl)-3-aminopropyldiethylethoxysilane,
N-2-(aminoethyl)-3-aminopropylethyldiethoxysilane,
N-2-(aminoethyl)-3-aminopropyltriethoxysilane, 3-aminopropyldimethylmethoxysilane,
3-aminopropylmethyldimethoxysilane, 3-aminopropyltrimethoxysilane, 3-aminopropyldiethylethoxysilane,
3-aminopropylethyldiethoxysilane, 3-aminopropyltriethoxysilane,
N-phenyl-3-aminopropyltrimethoxysilane, and 3-triethoxysilyl-
N-(1,3-dimethyl-butylidene)propylamine.
[0024] A solvent contained in the surface treatment agent (X) is not particularly restricted,
and examples thereof include organic solvents, such as alcohols, acetone, acetonitrile,
benzene, cyclohexane, methyl acetate, ethyl acetate, and methyl ethyl ketone; and
mixtures of these organic solvents and water. As an organic solvent, an alcohol having
not more than 5 carbon atoms is preferred. When the solvent is a mixture of an organic
solvent and water, the mass ratio of water contained in the mixture is preferably
less than 5% by mass; however, it is more preferred that the solvent contains substantially
no water.
[0025] Further, the surface treatment agent (X) may also contain additives, such as a leveling
agent used for improving the wettability, a film-forming aid used for improving the
film-forming properties, an organic or inorganic crosslinking agent used for obtaining
a more rigid film, an antifoaming agent used for inhibiting foam formation, a thickening
agent used for controlling the viscosity, and a rust inhibitor. These additives may
be incorporated within a range that does not impair the effects of the present invention.
[0026] In the surface treatment agent (X), the total content of the amino group-containing
compound is not particularly restricted; however, it is preferably in a range of 0.1%
by mass to 10% by mass, more preferably in a range of 0.5% by mass to 5% by mass,
with respect to a total amount of the surface treatment agent (X).
<Surface Treatment Agent (Y)>
[0027] The surface treatment agent (Y) according to the present embodiment contains: a silicone
resin (A); a compound (B) containing a metal element selected from titanium, platinum,
rhodium and palladium; and an aromatic hydrocarbon-based solvent (C). By using this
surface treatment agent (Y), a surface treatment film to which a carbide of a living
tissue is unlikely to adhere can be formed.
<Silicone Resin (A)>
[0028] The silicone resin (A) is not particularly restricted as long as it has an organopolysiloxane
structure which contains plural siloxane bonds and in which an organic group is bound
to silicon (Si); however, the silicone resin (A) preferably has an organopolysiloxane
structure which contains at least two or more organic groups bound to Si in one molecule.
The position at which each organic group is bound is not particularly restricted,
and each organic group may be bound to a main chain, a side chain, or a terminal.
The silicone resin (A) may be a homopolymer having the above-described organopolysiloxane
structure, a mixture of a homopolymer having the above-described organopolysiloxane
structure and a homopolymer having a polysiloxane structure, or a copolymer (a block
copolymer or a graft polymer) that has the above-described organopolysiloxane structure
and a polysiloxane structure. Further, the silicone resin (A) may be of an addition
type or a condensation type. Moreover, the silicone resin (A) may be any of a thermosetting
type, a room temperature-curable type (RTV), and a UV-curable type.
[0029] Examples of the organic group bound to Si in the organopolysiloxane structure include,
but not limited to: saturated hydrocarbon groups, unsaturated hydrocarbon groups,
halogenated alkyl groups, and an epoxycyclohexyl group. Examples of the saturated
hydrocarbon groups include, but not limited to: linear or branched alkyl groups and
cycloalkyl groups. Examples of the unsaturated hydrocarbon groups include, but not
limited to: linear or branched alkenyl groups, cycloalkenyl groups, cycloalkenylalkyl
groups, and aryl groups. The organic group bound to Si is preferably an unsaturated
hydrocarbon group, more preferably an alkenyl group, particularly preferably a vinyl
group or a hexenyl group.
[0030] Examples of the halogenated alkyl groups include a chloromethyl group, a 3-chloropropyl
group, a 1-chloro-2-methylpropyl group, and a 3,3,3-trifluoropropyl group. Examples
of the alkyl groups include a methyl group, an ethyl group, a propyl group, a butyl
group, a pentyl group, a hexyl group, a heptyl group, an octyl group, a nonyl group,
and a decyl group. Examples of the cycloalkyl groups include a cyclopentyl group and
a cyclohexyl group. Examples of the linear or branched alkenyl groups include a vinyl
group, a 1-propenyl group, an allyl group, an isopropenyl group, a 1-butenyl group,
a 2-butenyl group, a pentenyl group, and a hexenyl group. Examples of the cycloalkenyl
groups include a cyclopentenyl group and a cyclohexenyl group. Examples of the cycloalkenylalkyl
groups include a cyclopentenylethyl group, a cyclohexenylethyl group, and cyclohexenylpropyl
group. Examples of the aryl groups include a phenyl group.
[0031] The polysiloxane structure is not particularly restricted as long as it is different
from the above-described organopolysiloxane structure, and examples thereof include
a polysiloxane structure that contains at least two or more hydrogen atoms bound to
Si in one molecule, and a polysiloxane structure that contains at least two or more
alkoxy groups bound to Si in one molecule. Examples of the alkoxy groups include a
methoxy group, an ethoxy group, a propoxy group, and a butoxy group. The alkoxy groups
may each be linear or branched.
[0032] In the preparation of the surface treatment agent (Y), the above-described various
silicone resins may be used singly, or in combination of two or more thereof. One
example of a preferred embodiment of the silicone resin (A) is a mixture of a polymer
having an organopolysiloxane structure that contains at least two or more unsaturated
hydrocarbon groups bound to Si in one molecule and a polymer having a polysiloxane
structure that contains at least two or more hydrogen atoms bound to Si in one molecule.
[0033] Examples of the polymer having an organopolysiloxane structure that contains at least
two or more unsaturated hydrocarbon groups bound to Si in one molecule include a dimethyl
polysiloxane having dimethylvinyl siloxy groups at both terminals of its molecular
chain, a dimethyl siloxane-methylphenyl siloxane copolymer having dimethylvinylsiloxy
groups at both terminals of its molecular chain, a dimethyl siloxane-methylvinyl siloxane
copolymer having dimethylvinylsiloxy groups at both terminals of its molecular chain,
a dimethyl siloxane-methylvinyl siloxane copolymer having trimethylsiloxy groups at
both terminals of its molecular chain, a dimethyl siloxane-methylvinyl siloxane-methylphenyl
siloxane ternary copolymer having trimethylsiloxy groups at both terminals of its
molecular chain, a dimethyl siloxane-methylvinyl siloxane copolymer having silanol
groups at both terminals of its molecular chain, and a methylvinyl polysiloxane having
silanol groups at both terminals of its molecular chain, as well as polymers in which
some of the methyl groups of various homopolymers, copolymers and ternary copolymers
are substituted with: alkyl groups other than a methyl group, such as an ethyl group
and a propyl group; or halogenated alkyl groups, such as a 3,3,3-trifluoropropyl group
and a 3,3,3-trichloropropyl group. A mixture of two or more selected from the above-described
homopolymers, copolymers and ternary copolymers may be used for the preparation of
the surface treatment agent (Y).
[0034] The polymer having a polysiloxane structure that contains at least two or more hydrogen
atoms bound to Si in one molecule is not particularly restricted, and examples thereof
include organohydrogen polysiloxanes having a linear, cyclic, branched or three-dimensional
network structure which contains at least two or more SiH groups, in each of which
a hydrogen atom is bound to Si, in one molecule and has repeating diorganosiloxane
units as a main chain and whose molecular chains are capped with triorganosiloxy groups
at both terminals. More specific examples include a methyl hydrogen polysiloxane having
trimethylsiloxy groups at both terminals of its molecular chain, a dimethyl siloxane-methyl
hydrogen siloxane copolymer having trimethylsiloxy groups at both terminals of its
molecular chain, a methyl hydrogen polysiloxane having silanol groups at both terminals
of its molecular chain, a dimethyl siloxane-methyl hydrogen siloxane copolymer having
silanol groups at both terminals of its molecular chain, a dimethyl polysiloxane having
dimethyl hydrogen siloxy groups at both terminals of its molecular chain, a methyl
hydrogen polysiloxane having dimethyl hydrogen siloxy groups at both terminals of
its molecular chain, and a dimethyl siloxane-methyl hydrogen siloxane copolymer having
dimethyl hydrogen siloxy groups at both terminals of its molecular chain. A mixture
of two or more selected from the above-described homopolymers and copolymers may be
used for the preparation of the surface treatment agent (Y).
[0035] The weight-average molecular weight of the silicone resin (A) is not particularly
restricted; however, it is usually in a range of 6,000 to 45,000, preferably in a
range of 6,500 to 40,000. The weight-average molecular weight is a value measured
by GPC (gel permeation chromatography) in terms of polystyrene.
<Compound (B)>
[0036] The compound (B) is not particularly restricted as long as it is a compound that
contains a metal element selected from titanium, platinum, rhodium, and palladium.
Examples of a compound containing titanium include titanyl sulfate, titanyl nitrate,
titanium nitrate, titanyl chloride, titanium chloride, titania sol, titanium oxide,
titanium potassium oxalate, titanium lactate, titanium tetraisopropoxide, titanium
acetylacetonate, diisopropyl titanium bis-acetylacetone, and titanium diisopropoxy-bis(acetylacetonate).
[0037] Examples of a compound containing platinum, rhodium, or palladium include simple
metals of platinum group, such as platinum (including platinum black), rhodium, and
palladium; platinum chloride, chloroplatinic acid and chloroplatinates, such as H
2PtCl
4·nH
2O, H
2PtCl
6·nH
2O, NaHPtCl
6·nH
2O, KHPtCl
6·nH
2O, Na
2PtCl
6·nH
2O, K
2PtCl
4·nH
2O, PtCl
4·nH
2O, PtCl
2, and Na
2HPtCl
4·nH
2O (wherein, n is an integer of 0 to 6, preferably 0 or 6); alcohol-modified chloroplatinic
acid (reaction product of an alcohol and chloroplatinic acid); complexes of chloroplatinic
acid with olefins; compounds in which a platinum-group metal, such as platinum black
or palladium, is supported on a carrier such as alumina, silica, or carbon; rhodium-olefin
complexes; chlorotris(triphenyl phosphine)rhodium (Wilkinson's catalyst); complexes
of platinum chloride, chloroplatinic acid or a chloroplatinate with vinyl-containing
siloxane; and compounds in which platinum chloride is supported on a polystyrene-polyethylene
glycol.
[0038] In the preparation of the surface treatment agent (Y), these compounds may be used
singly, or in combination of two or more thereof.
[0039] The content of the silicone resin (A) (which means a total content when plural silicone
resins are used) is in a range of 90% by mass to 99.9% by mass, preferably in a range
of 95% by mass to 99.8% by mass, more preferably in a range of 98% by mass to 99.7%
by mass, with respect to a total solid mass of the silicone resin (A) and the compound
(B).
[0040] In the surface treatment agent (Y), a ratio (B
M/A
M) of the mass (B
M) of the compound (B) [which means a total mass when plural compounds are used] to
the mass (A
M) of the silicone resin (A) [which means a total mass when plural silicone resins
are used] is preferably in a range of 0.001 to 0.111, more preferably in a range of
0.002 to 0.053, particularly preferably in a range of 0.003 to 0.02.
<Aromatic Hydrocarbon-Based Solvent (C)>
[0041] The aromatic hydrocarbon-based solvent (C) is a hydrocarbon constituted by, as a
unit, a single ring or plural planar rings that is/are composed of six carbon atoms
with alternating single and double bonds and delocalized electrons, and the type of
the hydrocarbon is not particularly restricted.
[0042] The aromatic hydrocarbon-based solvent (C) is not particularly restricted as long
as it contains the above-described unit; however, the aromatic hydrocarbon-based solvent
(C) has a solubility parameter (SP) value in a range of preferably 8.5 to 9.5, more
preferably 8.8 to 9.3. More specific examples of the aromatic hydrocarbon-based solvent
(C) include benzene, toluene, o-xylene,
p-xylene,
m-xylene, para-xylene, and ortho-xylene. In the preparation of the surface treatment
agent (Y), these aromatic hydrocarbon-based solvents (C) may be used singly, or in
combination of two or more thereof.
[0043] In the surface treatment agent (Y), the content of the aromatic hydrocarbon-based
solvent (C) is not particularly restricted; however, it is preferably in a range of
40% by mass to 99% by mass, more preferably in a range of 45% by mass to 95% by mass,
particularly preferably in a range of 50% by mass to 80% by mass, most preferably
in a range of 60% by mass to 75% by mass, in terms of mass ratio.
<Other Additives>
[0044] The surface treatment agent (Y) according to the present embodiment may also contain
various additives as required. Examples of the additives include, but not limited
to: a surfactant, an antifoaming agent, a leveling agent, a thickening agent, an antibacterial
and antifungal agent, a colorant, and a fluorine resin. These additives may be added
within a range that does not impair the effects of the present invention, and the
content of the additives is at most several % by mass with respect to the mass of
the surface treatment agent (Y).
[0045] In the surface treatment agent (Y), a silane coupling agent (D), such as a vinyl
group-containing silane coupling agent and/or an epoxy group-containing silane coupling
agent, may be incorporated as well. The vinyl group-containing silane coupling agent
is not particularly restricted as long as it is a silane coupling agent that contains
a vinyl group, and examples thereof include vinyl group-containing silane coupling
agents, such as vinyltrimethoxysilane, vinyltriethoxysilane, and
p-styryltrimethoxysilane. The epoxy group-containing silane coupling agent is also
not particularly restricted as long as it is a silane coupling agent that contains
an epoxy group, and examples thereof include epoxy group-containing silane coupling
agents, such as 3-glycidoxypropyltrimethoxysilane, 3-glycidoxypropylmethyldimethoxysilane,
and 2-(3,4-epoxycyclohexyl)ethyltrimethoxysilane. When an epoxy group-containing silane
coupling agent is used by itself or in combination with a vinyl group-containing silane
coupling agent, it is preferred to use a silane coupling agent having a single epoxy
group as the epoxy group-containing silane coupling agent.
[0046] When a silane coupling agent is used in the preparation of the surface treatment
agent (Y), a ratio (D
M/A
M) of the mass (D
M) of the silane coupling agent (D) [which means a total mass when plural silane coupling
agents are used] to the mass (A
M) of the silicone resin (A) [which means a total mass when plural silicone resins
are used] is preferably in a range of 0.005 to 0.251, more preferably in a range of
0.01 to 0.11; however, the ratio (D
M/A
M) is not restricted to be in this range.
[0047] The surface treatment agent (Y) according to the present embodiment can be produced
by mixing the silicone resin (A), the compound (B) containing a metal element selected
from titanium, platinum, rhodium and palladium, and the aromatic hydrocarbon-based
solvent (C) along with, as required, additives such as the silane coupling agent (D).
In the case of using the surface treatment agent (Y) according to the present embodiment
for the below-described surface treatment, the viscosity of the surface treatment
agent (Y) at 25°C is preferably in a range of 1 Pa·s to 30 Pa·s, more preferably in
a range of 3 Pa·s to 20 Pa·s, particularly preferably in a range of 5 Pa·s to 15 Pa·s.
The viscosity of the surface treatment agent (Y) can be measured using a vibration-type
viscometer (VM Series, manufactured by Sekonic Corporation).
<Surgical Electrode Having Surface Treatment Film and Production Method Thereof>
[0048] The surgical electrode having a surface treatment film according to the present embodiment
can be produced by, for example, the following method. The method includes: the first
step of contacting the surface treatment agent (X) with or over a surface (a part
or the entirety of an end portion at least) of a molded surgical electrode; and the
second step of forming a first coating by drying the surface treatment agent (X) brought
into contact with the surface of the surgical electrode. By performing these steps,
a surgical electrode having the first coating can be produced.
[0049] Prior to the first step, for the purposes of forming irregularities on the surface
of the surgical electrode and removing oil, dirt and oxide films adhering to the surface
of the metal material, a pretreatment may be performed on the metal material. A method
for this pretreatment is not particularly restricted, and examples thereof include:
a roughening treatment, such as a shot blasting treatment, an etching treatment using
a solution (e.g., an acidic solution or an alkaline solution), a grinding treatment,
a plasma treatment, or a corona discharge treatment; a washing treatment, such as
hot-water washing, solvent washing, alkali degreasing, or acid pickling; an oxide
film removing treatment, and a water-washing treatment. These treatments may be performed
singly, or two or more thereof may be performed in combination.
[0050] As a contact method in the first step, a variety of contact methods can be employed,
and an optimum method can be selected as appropriate in accordance with, for example,
the shape of the surgical electrode. Specific examples of the contact method include,
but not limited to: a coating method using a coating apparatus, an immersion treatment
method, a spray treatment method, a pouring method, a roll coating method, and a bar
coating method.
[0051] Further, examples of a drying method employed in the second step include, but not
limited to: a method of drying the surface treatment agent (X) using a hot-air or
induction heater, or with infrared ray, near-infrared ray or the like; and a method
of drying the surface treatment agent (X) by vacuum distillation. The drying temperature
is not particularly restricted; however, it is preferably in a range of 40 to 250°C,
more preferably in a range of 60 to 180°C. The drying time is also not particularly
restricted, and may be changed as appropriate in accordance with, for example, the
types of the materials to be used, and the amount of the surface treatment agent (X)
adhering on or over the surface of the surgical electrode.
[0052] The method of producing the surgical electrode having a surface treatment film according
to the present embodiment further includes: the third step of contacting the surface
treatment agent (Y) with a part or the entirety of the surface of the first coating
formed on the surgical electrode; and the fourth step of forming a second film by
drying the surface treatment agent (Y) brought into contact with the first coating.
By performing these steps, a surface treatment film that includes the first coating
and the second film in this order can be formed on the surgical electrode.
[0053] As a contact method in the third step, a variety of contact methods can be employed,
and an optimum method can be selected as appropriate in accordance with, for example,
the shape of the surgical electrode to be treated. Specific examples of the contact
method include coating methods, such as an immersion treatment method, a spray treatment
method, a pouring method, a roll coating method, and a bar coating method; and coating
methods using one or more coating apparatuses, such as a spin coater, a slit coater,
a die coater, a blade coater, and a dispenser.
[0054] The drying temperature in the fourth step is not particularly restricted; however,
it is preferably in a range of 40 to 250°C, more preferably in a range of 60 to 180°C.
A drying method is not particularly restricted, and examples thereof include a method
of drying the surface treatment agent (Y) using a hot-air or induction heater, or
with infrared ray, near-infrared ray or the like; and a method of drying the surface
treatment agent (Y) by vacuum distillation. The drying time is also not particularly
restricted, and can be set as appropriate in accordance with, for example, the types
of the materials to be used, and the amount of the surface treatment agent (Y) adhering
on or over the surface of the surgical electrode. The drying time may be, for example,
10 minutes or longer, or 15 minutes or longer, but 60 minutes or shorter, or 30 minutes
or shorter.
[0055] By performing the above-described first to fourth steps, a surface treatment film
that includes the first coating and the second film in this order can be formed on
the surgical electrode. The part where the first coating is formed and the part where
the second film is formed may be in the same region or different regions. It is noted
here that the first coating exists as an underlayer in the part where the second film
is formed.
[0056] In one example, the first coating formed by the first and the second steps may be
formed on the entire surface of the blade part of the end portion 11 as illustrated
with hatching in FIG. 7(a) or on the blade part of the end portion 11 and a part of
the intermediate connecting part as illustrated with hatching in FIG. 7(b), or may
be formed on a part away from the electrical connection portion 13 in the blade part
of the end portion 11 as illustrated in FIG. 7(c) (the first coating is not formed
on a part close to the intermediate connecting part).
[0057] In another example, the second film formed by the third and the fourth steps may
be formed on the entire surface of the flat part (both the upper surface and the lower
surface of the blade part) in the end portion as illustrated with a dot pattern in
FIG. 8(a), and the second film is not formed on the side surfaces (surfaces other
than the flat part) of the blade part. In yet another example, as illustrated with
a dot pattern in FIG. 8(b), the second film is formed on neither the side surfaces
of the blade part nor the distal ends of the upper and the lower surfaces. In this
manner, by not forming the second film on the side surfaces as well as the distal
ends, particularly the corners of the upper and the lower surfaces (parts away from
the electrical connection portion 13), a high frequency can be sufficiently emitted
from the part of the end portion that can come into close contact with a living tissue
and the like, namely a part that discharges electricity (hereinafter, referred to
as "discharging part"); therefore, a surgical electrode instrument can be ensured
to have good incision capability. In cases where the second film is formed on the
side surfaces as well as the distal ends, particularly the corners of the upper and
the lower surfaces, it is preferred to control the film thickness to be small (e.g.,
10 µm or less, preferably 5 µm or less, more preferably 2 µm or less). By this, a
high frequency can be sufficiently emitted from the discharging part that can come
into close contact with a living tissue, so that deterioration of the incision capability
can be inhibited.
[0058] In the end portion having the surface treatment film (a blade part in the case of
a blade-type surgical electrode), the amount of the first coating is not particularly
restricted; however, it is preferably in a range of 0.1 mg/m
2 to 50 mg/m
2, more preferably in a range of 1 mg/m
2 to 40 mg/m
2. When the first coating is formed from an amino group-containing silane coupling
agent, it is preferred that the amount of the first coating be in the above-described
range in terms of SiO
2-equivalent mass.
[0059] The amount of the first coating can be determined by measuring the coating amount
on a metal material having a prescribed area. Further, when the first coating is formed
from an amino group-containing silane coupling agent, the coating amount can be determined
by analyzing the first coating by a fluorescent X-ray method, calculating the mass
in terms of SiO
2 from the Si intensity, and then determining the coating amount per unit area.
[0060] Moreover, the total film thickness of the surface treatment film, which is formed
on the end portion (a blade part in the case of a blade-type surgical electrode) and
includes the first coating and the second film, is preferably in a range of 10 µm
to 400 µm, more preferably in a range of 20 µm to 300 µm, still more preferably in
a range of 30 µm to 200 µm, particularly preferably in a range of 50 µm to 150 µm.
EXAMPLES
[0061] The actions and effects of the present invention will now be described concretely
by way of Examples. It is noted here, however, that the following descriptions of
Examples do not restrict the scope of the present invention by any means.
(1) Preparation of Surgical Electrodes
[0062] Blade-type surgical electrodes having a plate-form end portion 11 as illustrated
in FIG. 1 were prepared. The material and the blade part size of each of the thus
prepared surgical electrodes are shown below. The surface roughness (arithmetic average
roughness: Ra) of the blade part was measured using a three-dimensional surface roughness
analyzer (model: SURFCOM 570A, manufactured by Tokyo Seimitsu Co., Ltd.). The measurement
was performed by 2.0-mm scanning at a rate of 0.3 mm/s.
(Z1) Material of surgical electrode: stainless steel SUS304
Size of blade part: 0.3 mm in plate thickness, 17.0 mm in length, 2.5 mm in width
(Z2) Material of surgical electrode: stainless steel SUS316L
Size of blade part: 0.3 mm in plate thickness, 17.0 mm in length, 2.5 mm in width
[0063] The blade part of each surgical electrode was immersed in ethanol (special grade,
manufactured by Junsei Chemical Co., Ltd.) and ultrasonicated for 10 minutes to remove
oil and dirt from the surface. Subsequently, the blade part was dried at 100°C for
10 minutes to remove ethanol adhering thereto.
(2) Preparation of Surface Treatment Agents
[0064] As surface treatment agents (X), solutions were prepared by mixing the respective
S1 to S7 shown in Table 1 below with ethanol such that the resulting solutions had
a solid mass concentration of 1.0%.
[0065] Surface treatment agents (Y) were prepared by mixing the components shown in Tables
2 to 5 at the respective ratios shown in Table 6. It is noted here that the thus prepared
surface treatment agents (Y) had a viscosity of 7.0 Pa·s. The viscosity was measured
at 25°C using a vibration-type viscometer (VM Series, manufactured by Sekonic Corporation).
[0066] In Table 6, the values in the columns of "% by mass" under "Silicone resin (A)",
"Compound (B)" and "Silane coupling agent (D)" each indicate the mass ratio of each
component with respect to a total mass of these components. Further, in Table 6, the
values in the column of "% by mass" under "Aromatic hydrocarbon-based solvent (C)"
each indicate the mass ratio of the aromatic hydrocarbon-based solvent (C) with respect
to a total mass of the corresponding surface treatment agent. In Table 6, "B
M/A
M" represents a ratio of the total mass (B
M) of the compound (B) to the total mass (A
M) of the silicone resin (A). Moreover, in Table 6, "D
M/A
M" represents a ratio of the total mass (D
M) of the silane coupling agent (D) to the total mass (A
M) of the silicone resin (A).
[Table 1]
[0067]
Table 1
| # |
Surface treatment |
| S1 |
3-aminopropyltriethoxy silane (manufactured by Shin-Etsu Chemical Co., Ltd., KBE-903) |
| S2 |
N-2-(aminoethyl)-3-aminopropyltrimethoxy silane (manufactured by Shin-Etsu Chemical
Co., Ltd., KBM-603) |
| S3 |
3-ureidopropyltrialchoxy silane (manufactured by Shin-Etsu Chemical Co., Ltd., KBE-585) |
| S4 |
Silicone resin (manufactured by Shin-Etsu Chemical Co., Ltd., KR-5206) |
| S5 |
Polyethyleneimine (manufactured by Nippon Shokubai Co., Ltd., Epomine P-1000) |
| S6 |
Pethylated meramine resin (manufactured by Chang Chun Plastics Co., Ltd., Chang Chun
meramine resin M-30WT) |
| S7 |
Polyallylamine (manufactured by Nittobo Medical Co., Ltd., PAA-D19) |
[Table 2]
[0068]
Table 2
| # |
Silicone resine (A) |
| A1 |
Epoxy resin-type silicone resin (manufactured by Shin-Etsu Chemical Co., Ltd., ES-1002T) |
| A2 |
Mixture of a polydimethyl siloxiane copolymer capped with terminals of its molecular
chain (weight-average molecular weight: 6000) and a methylhydrogen siloxane-dimethyl
siloxane copolymer capped by trimethylsilyl groups at both terminals of its molecular
chain (manufactured by Shin-Etsu Chemical Co., Ltd.) |
| A3 |
Mixture of a polydimethyl siloxane copolymer capped with terminals of its molecular
chain (weight-average molecular weight: 6500) and a methylhydrogen siloxane-dimethyl
siloxane copolymer capped by trimethylsilyl groups at both terminals of its molecular
chain (manufactured by Shin-Etsu Chemical Co., Ltd.) |
| A4 |
Mixture of a polydimethyl siloxane copolymer capped with terminals of its molecular
chain (weight-average molecular weight: 8000) and a methylhydrogen siloxane-dimethyl
siloxane copolymer capped by trimethylsilyl groups at both terminals of its molecular
chain (manufactured by Shin-Etsu Chemical Co., Ltd., KR-165) |
| A5 |
Mixture of a polydimethyl siloxane copolymer capped with terminals of its molecular
chain (weight-average molecular weight: 40000) and a methylhydrogen siloxane-dimethyl
siloxane copolymer capped by trimethylsilyl groups at both terminals of its molecular
chain (manufactured by Shin-Etsu Chemical Co., Ltd.) |
| A6 |
Mixture of a polydimethyl siloxane copolymer capped with terminals of its molecular
chain (weight-average molecular weight: 45000) and a methylhydrogen siloxane-dimethyl
siloxane copolymer capped by trimethylsilyl groups at both terminals of its molecular
chain (manufactured by Shin-Etsu Chemical Co., Ltd.) |
[Table 3]
| # |
Compound (B) |
| B1 |
H2PtCl4·nH2O (manufactured by Shin-Etsu Chemical Co., Ltd., D-168) |
| B2 |
Ti (C3H3O)2 (C5H7O2) 2 (manufactured by Matsumoto Fine Chemical Co., Ltd., TC-100) |
[Table 4]
| # |
Aromatic hydrocarbon-based solvent (C) |
| C1 |
Xylene (SP value: 8.9) |
| C2 |
Benzene (SP value: 9.2) |
[Table 5]
| # |
Silane coupling agent (D) |
| D1 |
Vinyltrimethoxy silane (Shin-Etsu Chemical Co., Ltd., KBM-1003) |
| D2 |
3-glycydoxypropyltrimethoxy silane (Shin-Etsu Chemical Co., Ltd., KBM-403) |
[Table 6]
[0069]
Table 6
| |
Silicone resin (A) |
Compound (B) |
Aromatic hydrocarbon-based solvent (C) |
Silane coupling agent (D) |
% by mass |
% by mass |
| Type |
% by mass |
Type |
% by mass |
Type |
% by mass |
Type |
% by mass |
8M/AM |
DM/AM |
| Y1 |
A1 |
99.6% |
B1 |
0.4% |
C1 |
70.0% |
- |
- |
0.004 |
- |
| Y2 |
A2 |
99.6% |
B1 |
0.4% |
C1 |
70.0% |
- |
- |
0.004 |
- |
| Y3 |
A3 |
99.6% |
B1 |
0.4% |
C1 |
70.0% |
- |
- |
0.004 |
- |
| Y4 |
A4 |
99.6% |
B1 |
0.4% |
C1 |
70.0% |
- |
- |
0.004 |
- |
| Y5 |
A5 |
99.6% |
B1 |
0.4% |
C1 |
70.0% |
- |
- |
0.004 |
- |
| Y6 |
A6 |
99.6% |
B1 |
0.4% |
C1 |
70.0% |
- |
- |
0.004 |
- |
| Y7 |
A4 |
90.0% |
B1 |
10.0% |
C1 |
70.0% |
- |
- |
0.111 |
- |
| Y8 |
A4 |
95.0% |
B1 |
5.0% |
C1 |
70.0% |
- |
- |
0.053 |
- |
| Y9 |
A4 |
98.0% |
B1 |
2.0% |
C1 |
70.0% |
- |
- |
0.020 |
- |
| Y11 |
A4 |
99.7% |
B1 |
0.3% |
C1 |
70.0% |
- |
- |
0.003 |
- |
| Y12 |
A4 |
99.8% |
B1 |
0.2% |
C1 |
70.0% |
- |
- |
0.002 |
- |
| Y13 |
A4 |
99.9% |
B1 |
0.1% |
C1 |
70.0% |
- |
- |
0.001 |
- |
| Y14 |
A4 |
99.6% |
B2 |
0.4% |
C1 |
70.0% |
- |
- |
0.004 |
- |
| Y15 |
A4 |
99.6% |
B1 |
0.4% |
C2 |
70.0% |
- |
- |
0.004 |
- |
| Y16 |
A4 |
99.1% |
B1 |
0.4% |
C1 |
70.0% |
D1 |
0.5% |
0.004 |
0.005 |
| Y17 |
A4 |
98.6% |
B1 |
0.4% |
C1 |
70.0% |
D1 |
1.0% |
0.004 |
0.010 |
| Y18 |
A4 |
96.6% |
B1 |
0.4% |
C1 |
70.0% |
D1 |
3.0% |
0.004 |
0.031 |
| Y19 |
A4 |
89.6% |
B1 |
0.4% |
C1 |
70.0% |
D1 |
10.0% |
0.004 |
0.112 |
| Y20 |
A4 |
79.6% |
B1 |
0.4% |
C1 |
70.0% |
D1 |
20.0% |
0.005 |
0.251 |
| Y21 |
A4 |
96.6% |
B1 |
0.4% |
C1 |
70.0% |
D2 |
3.0% |
0.004 |
0.031 |
(3) Production of End Portion 11 Having Surface Treatment Film
[0070] The blade part removed of oil and dirt was immersed in each surface treatment agent
(X). After the immersion, the blade part was dried at 100°C for 10 minutes to obtain
a surgical electrode having a first coating. In those cases where the first coating
was formed using any one of S 1 to S4, the first coating was analyzed by a fluorescent
X-ray method, and the mass was calculated in terms of SiO
2 from the Si intensity to determine the coating amount per unit area. Meanwhile, in
those cases where the first coating was formed using any one of S5 to S7, the coating
amount on the blade part having a prescribed area on which the first coating was formed
in the above-described manner was measured to determine the coating amount per unit
area.
[0071] Next, on the flat parts (both surfaces) of the end portion 11 having the thus formed
first coating, each surface treatment agent (Y) shown in Table 7 was applied using
the below-described dispenser and subsequently dried for 30 minutes at the drying
temperature shown in Table 7, whereby surgical electrodes of Examples 1 to 47 and
Comparative Examples 1 to 4, each of which had a second film of a prescribed thickness
(see Table 7), were obtained.
[0072] Dispenser (desktop-type robot): manufactured by Musashi Engineering, Inc., trade
name: ML-808GX, SM4000 MEGAX-3A-SS
(4) Evaluation Tests
[0073] The thus obtained surgical electrodes of Examples 1 to 47 and Comparative Examples
1 to 4 were each electrically connected to the below-described electrosurgical instrument
main body. Further, a counter electrode plate electrically connected to the electrosurgical
instrument main body was attached to a stainless-steel container in which a porcine
liver was placed.
<Electrosurgical Instrument Main Body (High-Frequency Apparatus and Control Pencil)>
[0074]
High-frequency apparatus: EXCALIBUR Plus PC, medical device approval No.: 20700BZY01171
Control pencil: manufactured by Japan Medicalnext Co., Ltd., disposable control pencil,
medical device approval No.: 20300BZY01003000
(4-1) Evaluation by Pure Cutting Mode (30 W)
[0075] The electrosurgical instrument main body was operated in the pure cutting mode (output:
30W), and the blade part was inserted in the vertical direction at an angle of 45°
with respect to the porcine liver surface. At a depth of 12 mm, the thus inserted
blade part was moved by 60 mm parallel to the porcine liver surface at a speed of
20 mm/s. This cutting operation was repeated twice, and the adhesion and the burn
resistance were evaluated for the part of the blade part that was inserted into the
porcine liver as the evaluation part.
• Adhesion
[0076] Each surgical electrode used for the two repeated cutting operations was cooled to
room temperature, and the evaluation part was subsequently held with fingers through
a piece of gauze and wiped once. Thereafter, the film of the evaluation part was visually
observed, and the adhesion was evaluated based on the following evaluation criteria.
The results thereof are shown in Table 7.
S: The area of peeled film was less than 1% with respect to the evaluation part.
A: The area of peeled film was 1% to less than 5% with respect to the evaluation part.
B: The area of peeled film was 5% to less than 15% with respect to the evaluation
part.
C: The area of peeled film was 15% or more with respect to the evaluation part.
• Burn Resistance
[0077] Each surgical electrode used for the two repeated cutting operations was cooled to
room temperature, and the evaluation part was subsequently held with fingers through
a piece of gauze and wiped once. Thereafter, the ratio of the area that was burned
and turned black in the evaluation part was quantified, and the burn resistance was
evaluated based on the following evaluation criteria. The results thereof are shown
in Table 7.
- A: The ratio of such area was 0% to lower than 5%.
- B: The ratio of such area was 5% to lower than 20%.
- C: The ratio of such area was 20% or higher.
(4-2) Evaluation by Pure Cutting Mode (80 W)
[0078] The adhesion and the burn resistance were evaluated in the same manner as in the
above (4-1), except that the output in the pure cutting mode of the electrosurgical
instrument main body was changed to 80 W. The results thereof are shown in Table 7.
[Table 7]
| Example/ Compara tive Example |
Surgical electrode |
Surface roughness of the blade part Ra |
First coating |
Second film |
Pure cutting mode |
| Amino group-containing compound |
Coating amount |
Drying temper ature |
Surface treatment agent (Y) |
Film thickness |
Drying temper ature |
30W |
80W |
| mg/m2 |
°C |
µm |
°C |
Adhe sion |
Burned area (%) |
Burn resistance |
Adhe sion |
Burned area (%) |
Burn resist ance |
| Example 1 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y4 |
100 |
150 |
s |
2 |
A |
A |
3 |
A |
| Example 2 |
Z1 |
0.14 |
S2 |
10 |
100 |
Y4 |
100 |
150 |
s |
2 |
A |
A |
3 |
A |
| Example 3 |
Z1 |
0.14 |
S3 |
10 |
100 |
Y4 |
100 |
150 |
A |
2 |
A |
A |
3 |
A |
| Example 4 |
Z1 |
0.14 |
S1 |
0.1 |
100 |
Y4 |
100 |
150 |
A |
2 |
A |
A |
3 |
A |
| Example 5 |
Z1 |
0.14 |
S1 |
1 |
100 |
Y4 |
100 |
150 |
s |
2 |
A |
A |
3 |
A |
| Example 6 |
Z1 |
0.14 |
S1 |
40 |
100 |
Y4 |
100 |
150 |
s |
2 |
A |
A |
3 |
A |
| Example 7 |
Z1 |
0.14 |
S1 |
50 |
100 |
Y4 |
100 |
150 |
A |
2 |
A |
A |
3 |
A |
| Example 8 |
Z1 |
0.14 |
S1 |
10 |
40 |
Y4 |
100 |
150 |
A |
2 |
A |
A |
3 |
A |
| Example 9 |
Z1 |
0.14 |
S1 |
10 |
60 |
Y4 |
100 |
150 |
A |
2 |
A |
A |
3 |
A |
| Example 10 |
Z1 |
0.14 |
S1 |
10 |
80 |
Y4 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 11 |
Z1 |
0.14 |
S1 |
10 |
180 |
Y4 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 12 |
Z1 |
0.14 |
S1 |
10 |
250 |
Y4 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 13 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y1 |
100 |
150 |
S |
4 |
A |
A |
4 |
A |
| Example 14 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y2 |
100 |
150 |
S |
3 |
A |
A |
4 |
A |
| Example 15 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y3 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 16 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y5 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 17 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y6 |
100 |
150 |
S |
3 |
A |
A |
4 |
A |
| Example 18 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y7 |
100 |
150 |
A |
3 |
A |
A |
3 |
A |
| Example 19 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y8 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 20 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y9 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 21 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y11 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 22 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y12 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 23 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y13 |
100 |
150 |
S |
3 |
A |
A |
3 |
A |
| Example 24 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y14 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 25 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y15 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 26 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y16 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 27 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y17 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 28 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y18 |
100 |
150 |
S |
2 |
A |
S |
3 |
A |
| Example 29 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y19 |
100 |
150 |
S |
3 |
A |
A |
4 |
A |
| Example 30 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y20 |
100 |
150 |
S |
3 |
A |
A |
4 |
A |
| Example 31 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y21 |
100 |
150 |
S |
2 |
A |
S |
3 |
A |
| Example 32 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y4 |
10 |
150 |
S |
4 |
A |
A |
4 |
A |
| Example 33 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y4 |
20 |
150 |
S |
3 |
A |
A |
4 |
A |
| Example 34 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y4 |
300 |
150 |
A |
2 |
A |
A |
3 |
A |
| Example 35 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y4 |
400 |
150 |
A |
2 |
A |
A |
3 |
A |
| Example 36 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y4 |
100 |
40 |
A |
3 |
A |
A |
4 |
A |
| Example 37 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y4 |
100 |
60 |
A |
3 |
A |
A |
4 |
A |
| Example 38 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y4 |
100 |
180 |
S |
2 |
A |
A |
3 |
A |
| Example 39 |
Z1 |
0.14 |
S1 |
10 |
100 |
Y4 |
100 |
250 |
S |
3 |
A |
A |
4 |
A |
| Example 40 |
Z2 |
0.14 |
S1 |
10 |
100 |
Y4 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 41 |
Z1 |
0.14 |
S5 |
40 |
100 |
Y4 |
100 |
150 |
A |
2 |
A |
A |
4 |
A |
| Example 42 |
Z1 |
0.14 |
S6 |
40 |
100 |
Y4 |
100 |
150 |
A |
2 |
A |
A |
3 |
A |
| Example 43 |
Z1 |
0.14 |
S7 |
40 |
100 |
Y4 |
100 |
150 |
A |
2 |
A |
A |
3 |
A |
| Example 44 |
Z1 |
0.05 |
S1 |
10 |
100 |
Y4 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 45 |
Z1 |
0.39 |
S1 |
10 |
100 |
Y4 |
100 |
150 |
S |
2 |
A |
A |
3 |
A |
| Example 46 |
Z1 |
0.01 |
S1 |
10 |
100 |
Y4 |
100 |
150 |
A |
2 |
A |
A |
3 |
A |
| Example 47 |
Z1 |
0.45 |
S1 |
10 |
100 |
Y4 |
100 |
150 |
A |
2 |
A |
A |
3 |
A |
| C. Example 1 |
Z1 |
0.14 |
- |
0.0 |
100 |
Y4 |
100 |
150 |
B |
10 |
B |
C |
18 |
B |
| C. Example 2 |
Z1 |
0.14 |
S4 |
10 |
100 |
Y4 |
100 |
150 |
C |
45 |
C |
C |
65 |
C |
| C. Example 3 |
Z1 |
0.14 |
- |
- |
- |
- |
- |
- |
C |
90 |
C |
C |
95 |
C |
| C. Example 4 |
Z1 |
0.14 |
S1 |
10 |
100 |
- |
- |
- |
C |
90 |
C |
c |
95 |
C |
[0079] The present invention has been described above in detail referring to concrete examples
thereof; however, it is obvious to those skilled in the art that various modifications
and changes can be made without departing from the gist and the scope of the present
invention.
DESCRIPTION OF SYMBOLS
[0080]
10, 20, 30, 40, 60: surgical electrode
11, 21, 31, 41, 61: end portion
12: intermediate portion
13, 23, 33, 43: electrical connection portion
14, 24, 34, 44: cover